Provider Demographics
NPI:1306847256
Name:REUTER, RICHARD ALAN (DPM)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ALAN
Last Name:REUTER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 HOPE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-1126
Mailing Address - Country:US
Mailing Address - Phone:401-253-8900
Mailing Address - Fax:401-253-3131
Practice Address - Street 1:1180 HOPE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-1126
Practice Address - Country:US
Practice Address - Phone:401-253-8900
Practice Address - Fax:401-253-3131
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RID.P.M.213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1170OtherNEIGHBORHOOD HEALTH
RI0660120001OtherDME SUPPLIER
RI27-00140OtherUNITED HEALTH CARE
RI334201OtherHARVARD PILGRIM HEALTH
RI480909160OtherRAILROAD MEDICARE
RI768902OtherTUFTS HEALTH PLAN
RI9007311Medicaid
RI001869OtherBCHIP
RI0000007311OtherB/C
T53647Medicare UPIN
RI27-00140OtherUNITED HEALTH CARE